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Gyn Cancer Staging > Ovarian/Fallopian/Peritoneal Cancer > Flashcards

Ovarian/Fallopian/Peritoneal Cancer Flashcards

1
Q

What is the staging procedure in apparent early stage epithelial ovarian cancer?

A

●Peritoneal cytology (washings or ascites).
●Visual assessment of the upper abdomen, peritoneal surfaces, and large and small bowel mesentery and other abdominal organs, with biopsies of abnormal findings.
●Hysterectomy with bilateral salpingo-oophorectomy.
●Pelvic and paraaortic lymph node dissection.
●Infracolic or infragastric omentectomy

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2
Q

What is FIGO stage 1 ovarian/fallopian cancer?

A

Tumor limited to ovaries (one or both) or fallopian tube(s)

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3
Q

What is FIGO stage 1A ovarian/fallopian tube cancer?

A

Tumor limited to one ovary (capsule intact) or fallopian tube, no tumor on ovarian or fallopian tube surface; no malignant cells in ascites or peritoneal washings

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4
Q

What is FIGO stage 1B ovarian/Fallopian tube cancer?

A

Tumor limited to both ovaries (capsules intact) or fallopian tubes; no tumor on ovarian or fallopian tube surface; no malignant cells in ascites or peritoneal washings

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5
Q

What is FIGO stage 1C1 ovarian/Fallopian tube cancer?

A

Tumor limited to one or both ovaries or fallopian tubes, with surgical spill

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6
Q

What is FIGO stage 1C2 ovarian/Fallopian tube cancer?

A

Tumor limited to one or both ovaries or fallopian tubes, with Capsule ruptured before surgery or tumor on ovarian or fallopian tube surface

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7
Q

What is FIGO stage 1C3 ovarian/Fallopian tube cancer?

A

Tumor limited to one or both ovaries or fallopian tubes, with Malignant cells in ascites or peritoneal washings

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8
Q

What is FIGO stage 2 Ovary, fallopian tube, or primary peritoneal carcinoma?

A

Tumor involves one or both ovaries or fallopian tubes with pelvic extension below pelvic brim or primary peritoneal cancer

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9
Q

What is the lowest stage for primary peritoneal cancer?

A

Stage 2

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10
Q

What is FIGO stage 2A Ovary, fallopian tube, or primary peritoneal carcinoma?

A

Extension and/or implants on the uterus and/or fallopian tube(s) and/or ovaries

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11
Q

What is FIGO stage 2B Ovary, fallopian tube, or primary peritoneal carcinoma?

A

Extension to and/or implants on other pelvic tissues

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12
Q

What is FIGO stage 3 Ovary, fallopian tube, or primary peritoneal carcinoma?

A

Tumor involves one or both ovaries or fallopian tubes, or primary peritoneal cancer, with microscopically confirmed peritoneal metastasis outside the pelvis and/or metastasis to the retroperitoneal (pelvic and/or para-aortic) lymph nodes

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13
Q

What is FIGO stage 3A2 Ovary, fallopian tube, or primary peritoneal carcinoma?

A

Microscopic extrapelvic (above the pelvic brim) peritoneal involvement with or without positive retroperitoneal lymph nodes

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14
Q

What is FIGO stage 3B Ovary, fallopian tube, or primary peritoneal carcinoma?

A

Macroscopic peritoneal metastasis beyond pelvis 2 cm or less in greatest dimension with or without metastasis to the retroperitoneal lymph nodes

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15
Q

What is FIGO stage 3C Ovary, fallopian tube, or primary peritoneal carcinoma?

A

Macroscopic peritoneal metastasis beyond the pelvis more than 2 cm in greatest dimension with or without metastasis to the retroperitoneal lymph nodes (includes extension of tumor to capsule of liver and spleen without parenchymal involvement of either organ)

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16
Q

What is FIGO stage 3A1 Ovary, fallopian tube, or primary peritoneal carcinoma?

A

Positive retroperitoneal lymph nodes only (histologically confirmed)

17
Q

What is FIGO stage 3A1i Ovary, fallopian tube, or primary peritoneal carcinoma?

A

Positive retroperitoneal lymph nodes only (histologically confirmed), Metastasis up to and including 10 mm in greatest dimension

18
Q

What is FIGO stage 3A1ii Ovary, fallopian tube, or primary peritoneal carcinoma?

A

Positive retroperitoneal lymph nodes only (histologically confirmed), Metastasis more than 10 mm in greatest dimension

19
Q

What is FIGO stage 4 Ovary, fallopian tube, or primary peritoneal carcinoma?

A

Distant metastasis, including pleural effusion with positive cytology; liver or splenic parenchymal metastasis; metastasis to extra-abdominal organs (including inguinal lymph nodes and lymph nodes outside the abdominal cavity); and transmural involvement of intestine

20
Q

What is FIGO stage 4A Ovary, fallopian tube, or primary peritoneal carcinoma?

A

Pleural effusion with positive cytology

21
Q

What is FIGO stage 4B Ovary, fallopian tube, or primary peritoneal carcinoma?

A

Liver or splenic parenchymal metastases; metastases to extra-abdominal organs (including inguinal lymph nodes and lymph nodes outside the abdominal cavity); transmural involvement of intestine

Gyn Cancer Staging (5 decks)

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